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1295400687
MARIAM IKHLAS
BRONX, NY
NPI
1295400687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-08-09
Last Update Date
2024-01-25
Business Address
MARIAM IKHLAS MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-5731
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Mailing Address
MARIAM IKHLAS MD
45 W 132ND ST APT 9B
NEW YORK, NY 10037-3116
Phone number: 475-239-0575
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